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New icd-10-cm codes

CMS Proposes Over 200 New ICD-10-CM Codes for 2025

If you’re hungry for a new crop of diagnosis codes, you may be in luck this October, assuming the newly-proposed diagnosis codes become actual, finalized new ICD-10-CM codes. Background: On April 10, CMS released the FY2025 Hospital Inpatient Prospective Payment System proposed rule for 2025, and tucked within the rule was a file sharing the […]
Published Date: April 23, 2024
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Overtime rule

3 Facts Help Medical Practices Prep for the New Overtime Rule

A new employment overtime rule will require you to modify how you pay some of your full-time salaried employees, or you could end up facing expensive and time-consuming investigations into your labor compliance. To ensure your practice is ready for compliance with the upcoming overtime rule, check out three facts about the law. 1. The […]
Published Date: April 22, 2024
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Sunshine act

Are You Subject to Sunshine Act Reporting Rules? 4 Ways to Tell

Under the Sunshine Act, vendors must post the names of every provider they have a financial relationship with — and this means even accepting lunch from a drug rep will land your name on the Open Payments list. If you find out your name is listed inaccurately, you can dispute it. The problem is that […]
Published Date: April 16, 2024
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Critical care codes

3 Important Facts About Billing Critical Care Codes 99291-99292

Reporting the critical care codes (99291-99292) can lead to mass confusion for many coders and billers. After all, these services are considered both inpatient care and E/​M services — but they follow slightly different rules than most other inpatient E/​M codes. To get a handle on how to report the critical care codes at your […]
Published Date: April 15, 2024
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Managed care contracting

8 Managed Care Contracting Tips to Solidify the Terms You Need

Managed care contracting can strike fear in the hearts of even the most seasoned medical practice manager. One bad contract term can haunt you for years, particularly when it affects the income you’re bringing in. Your best bet is to do some legwork before you sit down at the negotiating table. Check these eight managed […]
Published Date: April 10, 2024
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Medical records

7 Do’s and 5 Don’ts to Keep Medical Records Legally Compliant

A lot goes into maintaining accurate and compliant medical records, from storing them for a certain period of time to ensuring that you’ve documented medical necessity in every file. And one factor that should never be left behind is ensuring that your medical records are legally compliant. Check out seven Do’s and five Don’ts to […]
Published Date: April 9, 2024
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Employee coaching

4 Employee Coaching Style Differences & When to Use Each Type

Coaching your staff members is one of the most important things you can do to ensure your practice continues running efficiently. Without employee coaching, team members may lose enthusiasm for the role, and you could miss an opportunity to identify unlocked potential. Check out two main types of employee coaching and when each applies. Directive […]
Published Date: April 2, 2024
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Medicare demand

3 Ways You Might Respond to a Medicare Demand Letter

Whether you’ve coded a claim incorrectly, failed to justify medical necessity or made another error, you’re likely to receive a Medicare demand letter asking for money back in certain cases. Any time your MAC pays you $25 or more in excess of what they should have, you’re subject to the recovery and recoupment process, which […]
Published Date: April 1, 2024
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Stay of enrollment

Untangling Medicare’s New Stay of Enrollment Status & Its Impact

Practices are accustomed to enrollment and credentialing errors when it comes to Medicare, and these errors often lead to penalties, including lost pay. One way CMS is attempting to rectify this issue is with the recent debut of a new enrollment status called a “stay of enrollment.” Check out a few facts you must know […]
Published Date: March 27, 2024
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2024 ICD-10-CM

Ace the April 2024 ICD-10-CM Changes Before Next Week

Every medical coder and biller knows that the best way to justify medical necessity in your claims system is to use the right diagnosis codes. And while the 2024 ICD-10-CM codes were released last fall, CMS recently issued an April update that could turn your coding processes upside-down. Check out several April 2024 ICD-10-CM changes […]
Published Date: March 26, 2024
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